|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$11,950.44
|
|
|
Service Code
|
APR-DRG 4704
|
| Min. Negotiated Rate |
$11,381.37 |
| Max. Negotiated Rate |
$11,950.44 |
| Rate for Payer: BCBS Complete |
$11,950.44
|
| Rate for Payer: Mclaren Medicaid |
$11,381.37
|
| Rate for Payer: Meridian Medicaid |
$11,950.44
|
| Rate for Payer: PHP Medicaid |
$11,381.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$11,381.37
|
| Rate for Payer: UHCCP Medicaid |
$11,381.37
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$3,052.28
|
|
|
Service Code
|
APR-DRG 4701
|
| Min. Negotiated Rate |
$2,906.93 |
| Max. Negotiated Rate |
$3,052.28 |
| Rate for Payer: BCBS Complete |
$3,052.28
|
| Rate for Payer: Mclaren Medicaid |
$2,906.93
|
| Rate for Payer: Meridian Medicaid |
$3,052.28
|
| Rate for Payer: PHP Medicaid |
$2,906.93
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,906.93
|
| Rate for Payer: UHCCP Medicaid |
$2,906.93
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 4702
|
| Min. Negotiated Rate |
$3,990.87 |
| Max. Negotiated Rate |
$4,190.41 |
| Rate for Payer: BCBS Complete |
$4,190.41
|
| Rate for Payer: Mclaren Medicaid |
$3,990.87
|
| Rate for Payer: Meridian Medicaid |
$4,190.41
|
| Rate for Payer: PHP Medicaid |
$3,990.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,990.87
|
| Rate for Payer: UHCCP Medicaid |
$3,990.87
|
|
|
APR-DRG 42.00: CHRONIC KIDNEY DISEASE
|
Facility
|
IP
|
$6,570.15
|
|
|
Service Code
|
APR-DRG 4703
|
| Min. Negotiated Rate |
$6,257.29 |
| Max. Negotiated Rate |
$6,570.15 |
| Rate for Payer: BCBS Complete |
$6,570.15
|
| Rate for Payer: Mclaren Medicaid |
$6,257.29
|
| Rate for Payer: Meridian Medicaid |
$6,570.15
|
| Rate for Payer: PHP Medicaid |
$6,257.29
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,257.29
|
| Rate for Payer: UHCCP Medicaid |
$6,257.29
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$8,070.43
|
|
|
Service Code
|
APR-DRG 1404
|
| Min. Negotiated Rate |
$7,686.12 |
| Max. Negotiated Rate |
$8,070.43 |
| Rate for Payer: BCBS Complete |
$8,070.43
|
| Rate for Payer: Mclaren Medicaid |
$7,686.12
|
| Rate for Payer: Meridian Medicaid |
$8,070.43
|
| Rate for Payer: PHP Medicaid |
$7,686.12
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,686.12
|
| Rate for Payer: UHCCP Medicaid |
$7,686.12
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$5,069.88
|
|
|
Service Code
|
APR-DRG 1403
|
| Min. Negotiated Rate |
$4,828.46 |
| Max. Negotiated Rate |
$5,069.88 |
| Rate for Payer: BCBS Complete |
$5,069.88
|
| Rate for Payer: Mclaren Medicaid |
$4,828.46
|
| Rate for Payer: Meridian Medicaid |
$5,069.88
|
| Rate for Payer: PHP Medicaid |
$4,828.46
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,828.46
|
| Rate for Payer: UHCCP Medicaid |
$4,828.46
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$3,517.88
|
|
|
Service Code
|
APR-DRG 1401
|
| Min. Negotiated Rate |
$3,350.36 |
| Max. Negotiated Rate |
$3,517.88 |
| Rate for Payer: BCBS Complete |
$3,517.88
|
| Rate for Payer: Mclaren Medicaid |
$3,350.36
|
| Rate for Payer: Meridian Medicaid |
$3,517.88
|
| Rate for Payer: PHP Medicaid |
$3,350.36
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,350.36
|
| Rate for Payer: UHCCP Medicaid |
$3,350.36
|
|
|
APR-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE
|
Facility
|
IP
|
$4,035.21
|
|
|
Service Code
|
APR-DRG 1402
|
| Min. Negotiated Rate |
$3,843.06 |
| Max. Negotiated Rate |
$4,035.21 |
| Rate for Payer: BCBS Complete |
$4,035.21
|
| Rate for Payer: Mclaren Medicaid |
$3,843.06
|
| Rate for Payer: Meridian Medicaid |
$4,035.21
|
| Rate for Payer: PHP Medicaid |
$3,843.06
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,843.06
|
| Rate for Payer: UHCCP Medicaid |
$3,843.06
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$9,105.10
|
|
|
Service Code
|
APR-DRG 0952
|
| Min. Negotiated Rate |
$8,671.52 |
| Max. Negotiated Rate |
$9,105.10 |
| Rate for Payer: BCBS Complete |
$9,105.10
|
| Rate for Payer: Mclaren Medicaid |
$8,671.52
|
| Rate for Payer: Meridian Medicaid |
$9,105.10
|
| Rate for Payer: PHP Medicaid |
$8,671.52
|
| Rate for Payer: Priority Health Choice Medicaid |
$8,671.52
|
| Rate for Payer: UHCCP Medicaid |
$8,671.52
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$20,900.33
|
|
|
Service Code
|
APR-DRG 0954
|
| Min. Negotiated Rate |
$19,905.08 |
| Max. Negotiated Rate |
$20,900.33 |
| Rate for Payer: BCBS Complete |
$20,900.33
|
| Rate for Payer: Mclaren Medicaid |
$19,905.08
|
| Rate for Payer: Meridian Medicaid |
$20,900.33
|
| Rate for Payer: PHP Medicaid |
$19,905.08
|
| Rate for Payer: Priority Health Choice Medicaid |
$19,905.08
|
| Rate for Payer: UHCCP Medicaid |
$19,905.08
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$7,501.36
|
|
|
Service Code
|
APR-DRG 0951
|
| Min. Negotiated Rate |
$7,144.15 |
| Max. Negotiated Rate |
$7,501.36 |
| Rate for Payer: BCBS Complete |
$7,501.36
|
| Rate for Payer: Mclaren Medicaid |
$7,144.15
|
| Rate for Payer: Meridian Medicaid |
$7,501.36
|
| Rate for Payer: PHP Medicaid |
$7,144.15
|
| Rate for Payer: Priority Health Choice Medicaid |
$7,144.15
|
| Rate for Payer: UHCCP Medicaid |
$7,144.15
|
|
|
APR-DRG 42.00: CLEFT LIP AND PALATE REPAIR
|
Facility
|
IP
|
$9,984.57
|
|
|
Service Code
|
APR-DRG 0953
|
| Min. Negotiated Rate |
$9,509.11 |
| Max. Negotiated Rate |
$9,984.57 |
| Rate for Payer: BCBS Complete |
$9,984.57
|
| Rate for Payer: Mclaren Medicaid |
$9,509.11
|
| Rate for Payer: Meridian Medicaid |
$9,984.57
|
| Rate for Payer: PHP Medicaid |
$9,509.11
|
| Rate for Payer: Priority Health Choice Medicaid |
$9,509.11
|
| Rate for Payer: UHCCP Medicaid |
$9,509.11
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$4,190.41
|
|
|
Service Code
|
APR-DRG 6611
|
| Min. Negotiated Rate |
$3,990.87 |
| Max. Negotiated Rate |
$4,190.41 |
| Rate for Payer: BCBS Complete |
$4,190.41
|
| Rate for Payer: Mclaren Medicaid |
$3,990.87
|
| Rate for Payer: Meridian Medicaid |
$4,190.41
|
| Rate for Payer: PHP Medicaid |
$3,990.87
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,990.87
|
| Rate for Payer: UHCCP Medicaid |
$3,990.87
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$22,555.81
|
|
|
Service Code
|
APR-DRG 6614
|
| Min. Negotiated Rate |
$21,481.72 |
| Max. Negotiated Rate |
$22,555.81 |
| Rate for Payer: BCBS Complete |
$22,555.81
|
| Rate for Payer: Mclaren Medicaid |
$21,481.72
|
| Rate for Payer: Meridian Medicaid |
$22,555.81
|
| Rate for Payer: PHP Medicaid |
$21,481.72
|
| Rate for Payer: Priority Health Choice Medicaid |
$21,481.72
|
| Rate for Payer: UHCCP Medicaid |
$21,481.72
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$14,588.85
|
|
|
Service Code
|
APR-DRG 6613
|
| Min. Negotiated Rate |
$13,894.14 |
| Max. Negotiated Rate |
$14,588.85 |
| Rate for Payer: BCBS Complete |
$14,588.85
|
| Rate for Payer: Mclaren Medicaid |
$13,894.14
|
| Rate for Payer: Meridian Medicaid |
$14,588.85
|
| Rate for Payer: PHP Medicaid |
$13,894.14
|
| Rate for Payer: Priority Health Choice Medicaid |
$13,894.14
|
| Rate for Payer: UHCCP Medicaid |
$13,894.14
|
|
|
APR-DRG 42.00: COAGULATION AND PLATELET DISORDERS
|
Facility
|
IP
|
$6,777.09
|
|
|
Service Code
|
APR-DRG 6612
|
| Min. Negotiated Rate |
$6,454.37 |
| Max. Negotiated Rate |
$6,777.09 |
| Rate for Payer: BCBS Complete |
$6,777.09
|
| Rate for Payer: Mclaren Medicaid |
$6,454.37
|
| Rate for Payer: Meridian Medicaid |
$6,777.09
|
| Rate for Payer: PHP Medicaid |
$6,454.37
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,454.37
|
| Rate for Payer: UHCCP Medicaid |
$6,454.37
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$4,449.08
|
|
|
Service Code
|
APR-DRG 7743
|
| Min. Negotiated Rate |
$4,237.22 |
| Max. Negotiated Rate |
$4,449.08 |
| Rate for Payer: BCBS Complete |
$4,449.08
|
| Rate for Payer: Mclaren Medicaid |
$4,237.22
|
| Rate for Payer: Meridian Medicaid |
$4,449.08
|
| Rate for Payer: PHP Medicaid |
$4,237.22
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,237.22
|
| Rate for Payer: UHCCP Medicaid |
$4,237.22
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$10,915.77
|
|
|
Service Code
|
APR-DRG 7744
|
| Min. Negotiated Rate |
$10,395.97 |
| Max. Negotiated Rate |
$10,915.77 |
| Rate for Payer: BCBS Complete |
$10,915.77
|
| Rate for Payer: Mclaren Medicaid |
$10,395.97
|
| Rate for Payer: Meridian Medicaid |
$10,915.77
|
| Rate for Payer: PHP Medicaid |
$10,395.97
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,395.97
|
| Rate for Payer: UHCCP Medicaid |
$10,395.97
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$2,534.94
|
|
|
Service Code
|
APR-DRG 7741
|
| Min. Negotiated Rate |
$2,414.23 |
| Max. Negotiated Rate |
$2,534.94 |
| Rate for Payer: BCBS Complete |
$2,534.94
|
| Rate for Payer: Mclaren Medicaid |
$2,414.23
|
| Rate for Payer: Meridian Medicaid |
$2,534.94
|
| Rate for Payer: PHP Medicaid |
$2,414.23
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,414.23
|
| Rate for Payer: UHCCP Medicaid |
$2,414.23
|
|
|
APR-DRG 42.00: COCAINE ABUSE AND DEPENDENCE
|
Facility
|
IP
|
$3,414.41
|
|
|
Service Code
|
APR-DRG 7742
|
| Min. Negotiated Rate |
$3,251.82 |
| Max. Negotiated Rate |
$3,414.41 |
| Rate for Payer: BCBS Complete |
$3,414.41
|
| Rate for Payer: Mclaren Medicaid |
$3,251.82
|
| Rate for Payer: Meridian Medicaid |
$3,414.41
|
| Rate for Payer: PHP Medicaid |
$3,251.82
|
| Rate for Payer: Priority Health Choice Medicaid |
$3,251.82
|
| Rate for Payer: UHCCP Medicaid |
$3,251.82
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$10,812.30
|
|
|
Service Code
|
APR-DRG 0574
|
| Min. Negotiated Rate |
$10,297.43 |
| Max. Negotiated Rate |
$10,812.30 |
| Rate for Payer: BCBS Complete |
$10,812.30
|
| Rate for Payer: Mclaren Medicaid |
$10,297.43
|
| Rate for Payer: Meridian Medicaid |
$10,812.30
|
| Rate for Payer: PHP Medicaid |
$10,297.43
|
| Rate for Payer: Priority Health Choice Medicaid |
$10,297.43
|
| Rate for Payer: UHCCP Medicaid |
$10,297.43
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$4,914.68
|
|
|
Service Code
|
APR-DRG 0572
|
| Min. Negotiated Rate |
$4,680.65 |
| Max. Negotiated Rate |
$4,914.68 |
| Rate for Payer: BCBS Complete |
$4,914.68
|
| Rate for Payer: Mclaren Medicaid |
$4,680.65
|
| Rate for Payer: Meridian Medicaid |
$4,914.68
|
| Rate for Payer: PHP Medicaid |
$4,680.65
|
| Rate for Payer: Priority Health Choice Medicaid |
$4,680.65
|
| Rate for Payer: UHCCP Medicaid |
$4,680.65
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$6,414.95
|
|
|
Service Code
|
APR-DRG 0573
|
| Min. Negotiated Rate |
$6,109.48 |
| Max. Negotiated Rate |
$6,414.95 |
| Rate for Payer: BCBS Complete |
$6,414.95
|
| Rate for Payer: Mclaren Medicaid |
$6,109.48
|
| Rate for Payer: Meridian Medicaid |
$6,414.95
|
| Rate for Payer: PHP Medicaid |
$6,109.48
|
| Rate for Payer: Priority Health Choice Medicaid |
$6,109.48
|
| Rate for Payer: UHCCP Medicaid |
$6,109.48
|
|
|
APR-DRG 42.00: CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA
|
Facility
|
IP
|
$2,948.81
|
|
|
Service Code
|
APR-DRG 0571
|
| Min. Negotiated Rate |
$2,808.39 |
| Max. Negotiated Rate |
$2,948.81 |
| Rate for Payer: BCBS Complete |
$2,948.81
|
| Rate for Payer: Mclaren Medicaid |
$2,808.39
|
| Rate for Payer: Meridian Medicaid |
$2,948.81
|
| Rate for Payer: PHP Medicaid |
$2,808.39
|
| Rate for Payer: Priority Health Choice Medicaid |
$2,808.39
|
| Rate for Payer: UHCCP Medicaid |
$2,808.39
|
|
|
APR-DRG 42.00: CONNECTIVE TISSUE DISORDERS
|
Facility
|
IP
|
$6,104.55
|
|
|
Service Code
|
APR-DRG 3462
|
| Min. Negotiated Rate |
$5,813.86 |
| Max. Negotiated Rate |
$6,104.55 |
| Rate for Payer: BCBS Complete |
$6,104.55
|
| Rate for Payer: Mclaren Medicaid |
$5,813.86
|
| Rate for Payer: Meridian Medicaid |
$6,104.55
|
| Rate for Payer: PHP Medicaid |
$5,813.86
|
| Rate for Payer: Priority Health Choice Medicaid |
$5,813.86
|
| Rate for Payer: UHCCP Medicaid |
$5,813.86
|
|